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Patient counseling must prioritize consistency in nutrition, movement, and hydration for sustainable outcomes

In one study Nearly 50% of the patients on prolonged acid suppression therapy were either deficient or insufficient in blood vitamin B12 levels Damodharan, 2020] Metformin has also been shown to reduce vitamin B12 absorption

Low iron or B12 can often cause fatigue that feels identical to thyroid issues

Lyster RLJ: Effect of calcium on the stability of mares' milk lysozyme

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